Benefit Development Lead - Compliance & Strategy

Cambia Health Solutions

Lewiston (ID)

Hybrid

USD 72,000 - 103,500

Full time

14 days+

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Benefits offered by this job

Medical, dental and vision coverage
Generous paid time off and holidays
Market-leading retirement plan with 2%

Job summary

Cambia Health Solutions is seeking a Benefit Development Specialist to analyze, design, and monitor health benefit offerings while ensuring compliance with state and federal regulations. This role focuses on delivering a person-focused healthcare experience and collaborating with cross-functional teams to drive policy and benefit design.

The candidate should have a deep passion for healthcare policy, strong analytical capabilities, and the ability to communicate findings clearly across

Qualifications

  • Bachelor's degree in Business, Healthcare, or a related field and at least five years of benefit administration experience.

Responsibilities

  • Lead ongoing benefit development activities and audit complex benefit contracts to ensure regulatory compliance.
  • Track, analyze, and present regulatory updates to the Product Platform Team; respond to regulator inquiries.
  • Partner with cross-functional teams to implement, communicate, and monitor benefit-related activities.
  • Lead the Medicare benefit design bid submission process to CMS for the Medicare PPO line of business.

Skills

Health insurance knowledge
Regulatory analysis
Analytical thinking
Report writing
Cross-functional collaboration
Leadership & mentorship

Education

Bachelor's degree in Business, Healthcare, or related field

Job description

Cambia Health Solutions is seeking a Benefit Development Specialist to analyze, design, and monitor health benefit offerings while ensuring compliance with state and federal regulations. This role focuses on delivering a person-focused healthcare experience and collaborating with cross-functional teams to drive policy and benefit design.

The candidate should have a deep passion for healthcare policy, strong analytical capabilities, and the ability to communicate findings clearly across

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